Endotracheal Intubation

Question 1

A flexible tube placed inside the trachea of an anesthetized used to transfer gases directly from the anesthetic machine into the lungs

Answer 1

ET tube

Question 2

ET tubes help prevent

Answer 2

atelectasis

Question 3

These tubes have a beveled edge and a Murphy eye and may or may not have a cuff

Answer 3

Murphy tubes

Question 4

These tubes have no cuff or side hole, but decrease in diameter at the patient’s end
Used in birds and reptiles

Answer 4

Cole tubes

Question 5

Cuffed or uncuffed with no hole at the tip

Answer 5

Magill

Question 6

Creates a seal between the tube and the trachea

Answer 6

Cuff

Question 7

Tube lumen is measured in

Answer 7

MM (ID)

Question 8

Tube length is measured in

Answer 8

cms

Question 9

A device used to increase visibility of the larynx when placing an ET tube

Answer 9

Laryngoscope

Question 10

Patient end has a

Answer 10

cuff

Question 11

Machine end

Answer 11

attaches to the breathing circuit

Question 12

This indicates the cuff has been inflated and some require manual deflation

Answer 12

Pilot balloon

Question 13

Straight blades of laryngoscopes

Answer 13

Miller

Question 14

Curved blades of laryngoscopes

Answer 14

Macintosh

Question 15

Performed after induction or used for pts with respiratory or cardiac arrest for manual ventilation

Answer 15

Endotracheal intubations

Question 16

Predisposed to laryngospasms

Answer 16

Cats

Question 17

Can be used to facilitate intubation when smaller tubes are used to help prevent the bending of the tube
Should never extend past the patient end of tube

Answer 17

Stylette

Question 18

Breed and anatomy play a role in selecting the correct tube because of the

Answer 18

length

Question 19

Cats ET tubes should range

Answer 19

3-4.5 mm

Question 20

Dogs that are 20 kg tubes should range

Answer 20

9.5-10mm

Question 21

If a dog weighs more than 20 kg, the tube length should

Answer 21

increase 1 mm for every 5 kgs

Question 22

If a tube is too long, it creates more

Answer 22

dead space

Question 23

The patient end of the tube should lie

Answer 23

between the thoracic inlet and the larynx

Question 24

The tube should extend from the tip of the nose to

Answer 24

the thoracic inlet

Question 25

You can use this to help ease the passing of the tube

Answer 25

lubrication

Question 26

6 Supplies to have ready for intubation

Answer 26

1. Scope 2. 3 tubes of varying size 3. tie in 4. 3x3 gauze 5. air syringe 6. lidocaine (for cats)

Question 27

Restrainer should hold behind these teeth and extend the head and neck forward

Answer 27

canines

Question 28

2 positions an animal can be in for intubation

Answer 28

1. sternal | 2. lateral

Question 29

Horses should be positioned during intubation

Answer 29

lateral, with extended heat, neck and back

Question 30

Must be assessed by the restrainer prior to intubation

Answer 30

jaw tone

Question 31

Window for successful intubation is

Answer 31

short

Question 32

You should tie the tube around the

Answer 32

maxilla, mandible, or behind the ears

Question 33

Animals will not do this with proper placement

Answer 33

vocalize

Question 34

ET tube is advanced too far, breath sounds will be absent on one side and cause possible cyanosis

Answer 34

One lung intubation

Question 35

If this occurs, you can see extreme respiratory distress

Answer 35

Bronchial intubation

Question 36

This knot technique works really well for tying the tube

Answer 36

lark's head

Question 37

Prevents aspiration, waste gas, and problems maintaining depth at normal concentrations

Answer 37

Cuffing

Question 38

How much air should you inject into the cuff?

Answer 38

5ml

Question 39

While slowly inflating the cuff, you should compress this and listen for leakage around the cuff

Answer 39

reserve bag

Question 40

If you hear this noise, there is a leak around the cuff

Answer 40

hissing

Question 41

This can cause tracheal trauma or necrosis

Answer 41

Overinflation of the cuff

Question 42

This can cause inadequate depth, contamination of room with inhalant

Answer 42

Underinflation

Question 43

This can help treat laryngospasms in cats

Answer 43

lidocaine

Question 44

Most common complication of endotracheal intubation

Answer 44

placing the tube into the esophagus

Question 45

This reflex must return before trying to extubate

Answer 45

swallowing

Question 46

Brachycephalic breeds should be extubated when

Answer 46

they are fully conscious

Question 47

This tube type is made of PVC polyvinyl chloride Transparent, stiffer, cuff needs manually deflated, and high volume/low pressure Easy on the trachea

Answer 47

Vinyl

Question 48

This type of tube is orange-red and not transparent More flexible and inexpensive but prone to kinking and collapsing Tends to dry and crack because it absorbs disinfectants Cuff automatically deflates with cap release Low volume, high pressure

Answer 48

Red rubber

Question 49

More expensive tube but combines strength and pliability Less irritating to tissues and cuff requires manual deflation High volume/low pressure Considered the best

Answer 49

Silicone

Question 50

Specialized rubber tubes that contain a coil of metal or nylon embedded into the rubber designed to resist kinking or collapse Used in human medicine

Answer 50

Spiral or anode

Question 51

Performed in emergency situations to establish an airway when endotracheal intubation is contraindicated or impossible

Answer 51

Tracheostomy

Question 52

A method of oxygen delivery

Answer 52

Ambu bag